Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samia Lucinda Yesufu

Individual provider Clinical Social Worker · NPI 1164096152

Samia Lucinda Yesufu is a Clinical Social Worker in Evanston, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California and Illinois.

Years since qualifying
7
Licensed in
CA, IL
In the registry since
2021
Specialties on file
2
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 243
Evanston, IL 60204-0243
Phone: (773) 749-7703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149029636 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 126081 (CA)

Record details

NPI number1164096152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2021
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Evanston